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NYC MADISON AVENUE MEDICAL P.C.

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Company Details

Name: NYC MADISON AVENUE MEDICAL P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 07 May 2015 (10 years ago)
Entity Number: 4755165
ZIP code: 07009
County: New York
Place of Formation: New York
Address: 124 EILEEN DRIVE, CEDAR GROVE, NJ, United States, 07009

Shares Details

Shares issued 100

Share Par Value 0.01

Type PAR VALUE

Chief Executive Officer

Name Role Address
MUHAMMAD A. MIRZA Chief Executive Officer 124 EILEEN DRIVE, CEDAR GROVE, NJ, United States, 07009

DOS Process Agent

Name Role Address
DR. MUHAMMAD A. MIRZA DOS Process Agent 124 EILEEN DRIVE, CEDAR GROVE, NJ, United States, 07009

Agent

Name Role Address
BUSINESS FILINGS INCORPORATED Agent 187 WOLF ROAD, SUITE 101, ALBANY, NY, 12205

National Provider Identifier

NPI Number:
1437537834

Authorized Person:

Name:
MUHAMMAD MIRZA
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
No
Selected Taxonomy:
207K00000X - Allergy & Immunology Physician
Is Primary:
No
Selected Taxonomy:
208VP0000X - Pain Medicine Physician
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
9144705056

History

Start date End date Type Value
2024-11-30 2025-07-03 Shares Share type: PAR VALUE, Number of shares: 100, Par value: 0.01
2022-08-19 2024-11-30 Shares Share type: PAR VALUE, Number of shares: 100, Par value: 0.01
2015-05-07 2022-08-19 Shares Share type: PAR VALUE, Number of shares: 100, Par value: 0.01
2015-05-07 2017-08-11 Address 187 WOLF ROAD, SUITE 101, ALBANY, NY, 12205, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
210503061007 2021-05-03 BIENNIAL STATEMENT 2021-05-01
190502060798 2019-05-02 BIENNIAL STATEMENT 2019-05-01
170811006107 2017-08-11 BIENNIAL STATEMENT 2017-05-01
150507000504 2015-05-07 CERTIFICATE OF INCORPORATION 2015-05-07

Paycheck Protection Program

Jobs Reported:
6
Initial Approval Amount:
$21,900
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$21,900
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$22,167.67
Servicing Lender:
TD Bank, National Association
Use of Proceeds:
Payroll: $21,900

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State